ENDOSCOPIC VITREORETINAL SURGERY FOR COMPLICATED PROLIFERATIVE DIABETIC RETINOPATHY

Purpose To evaluate the indication for endoscopic vitreoretinal surgery in proliferative diabetic retinopathy (PDR). Methods Chart review of consecutive cases of vitreoretinal surgery for PDR performed by one of the authors (Y.L.F.) over a 2-year period. Results Endoscopic vitreoretinal surgery was performed in 8 of 41 (19.5%) eyes. The surgical indications were small pupil (3), hyphema (3), pseudophakia with fibrotic posterior capsule (1), and pars plana neovascularization with anterior tractional retinal detachment (6). Conclusion Endoscopic vitreoretinal surgery, by enhancing the visualization of the retroirideal space, is a useful technique in PDR with opaque ocular media and/or neovascularization of the pars plana and ciliary body.

[1]  J. Slakter,et al.  A disposable ophthalmic endoscopic system. , 1994, Archives of ophthalmology.

[2]  E W Norton,et al.  Vitrectomy: a pars plana approach. , 1971, Transactions - American Academy of Ophthalmology and Otolaryngology. American Academy of Ophthalmology and Otolaryngology.

[3]  J. Norris,et al.  An endoscope for ophthalmology. , 1978, American journal of ophthalmology.

[4]  J. Norris,et al.  Intraocular endoscopic surgery. , 1981, American journal of ophthalmology.

[5]  M. Uram.  Laser endoscope in the management of proliferative vitreoretinopathy. , 1994, Ophthalmology.

[6]  B. Glasgow,et al.  Pars plana incisions of four patients: histopathology and electron microscopy. , 1995, The British journal of ophthalmology.

[7]  R. Machemer,et al.  Histopathologic findings in human eyes after pars plana vitrectomy and lensectomy. , 1977, A M A Archives of Ophthalmology.

[8]  THREE‐DIMENSIONAL OPHTHALMIC CONTACT BSCAN ULTRASONOGRAPHY OF THE POSTERIOR SEGMENT , 1998, Retina.

[9]  M Uram,et al.  Ophthalmic laser microendoscope ciliary process ablation in the management of neovascular glaucoma. , 1992, Ophthalmology.

[10]  K. Teichmann,et al.  Intraocular fibrous proliferation as an incisional complication in pars plana vitrectomy. , 1977, American journal of ophthalmology.

[11]  G. Abrams,et al.  Clinicopathologic findings in anterior hyaloidal fibrovascular proliferation after diabetic vitrectomy. , 1987, American journal of ophthalmology.

[12]  A. Krieger.  The pars plana incision: experimental studies, pathologic observations, and clinical experience. , 1991, Transactions of the American Ophthalmological Society.

[13]  C. Schepens,et al.  Closed vitreous surgery: XV. Fibrovascular ingrowth from the pars plana sclerotomy. , 1977, Archives of ophthalmology.

[14]  George A. Williams,et al.  Anterior hyaloidal fibrovascular proliferation after diabetic vitrectomy. , 1987, American journal of ophthalmology.

[15]  Y. Frolov,et al.  Flexible endoscopes. Ophthalmoendoscopic techniques and case reports. , 1990, Archives of ophthalmology.

[16]  M Uram,et al.  Ophthalmic laser microendoscope endophotocoagulation. , 1992, Ophthalmology.

[17]  M. Araie,et al.  A new ophthalmic electronic videoendoscope system for intraocular surgery. , 1990, Archives of ophthalmology.

[18]  A. Kreiger.  Wound complications in pars plana vitrectomy. , 1993, Retina.